HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/25/2020
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x _ Residential _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5500 St. Lucie Blvd
Legal Description: 30 34 40 SW 1/4 OF SW 1/4 - LESS ASTRIP OF LAND ON E BEING 331.2FT ON N LI AND
333 FT ON S LI (OR 2947-659:3111-1969) —
Property Tax ID #: 1430-331-0002-000-5
Site Plan Name: Lot No.
Project Name: Block No.
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE SINGLE 600 AMP SERVICE AND METER CAN. LIKE FOR LIKE
Haaitional work to be er orme un er t is permit — check
F1HVAC
a
app Y�
_ Gas Tank Gas Piping
Electric 0
r
Shutters Q L Windows/Doors
Plumbing Sprinklers
EJ Generator Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 1,500.00 Utilities:
-Sewer
❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROAD RUNNER TRAVEL RESORT, LLC.
Name: CHRISTOPHER W. RICHMOND
Address: 5500 SAINT LUCIE BLVD
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
Zip Code: 34946 Fax:
y: FORT PIERCE L
City: State: F
Phone:
Zip Code: 34982 772-461-1907
Fax:
E Mail:
Phone No. 772-461-1951
Fill in fee simple Title Holder on next page ( if different
E-Mail: DEANA@RICHMONDELECTRICINC.COM
from the Owner listed above)
State or County License: EC0001963
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
Name:
— MORTGAGE COMPANY: Not Applicable
Address:
Name:
City:
Address:
Zip: Phone:
State: City:
State:
Zip: __ phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable BONDING COMPANY:
— Not Applicable
Address:
Name:
City:
Address:
Zip: Phone:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Commencing work or recording your Notice of Commencement.
_ Signature of Ow er/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this day of. 19)ar_, 20ZC.by
CHRISTOPHER A RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
00- - Notary Public State of Florida
Deana M Dailey
er Explrw W1212023
Revised 07/15/201
l
Signature of Contractor/ Icense Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this Z,�: day of 20 40 by
CHRISTOPHER w. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.NO�n f{6lBc3�fete of Plaids
• Deana M Dailey
My Corrmmi981on GG 328515
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